Transcript Looking Back with Our Eyes on the Future

Looking Back with Our Eyes
on the Future
December 15, 2016
"Don't look back unless you can smile;
don't look ahead unless you can dream."
Leadership in Action
Looking Back….
Top Ten 2016 Highlights
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#1 Adding new members and staff
 New members:
Steve Wallner
Rob Brown
Mary Beth Galey
Sue Knutson
Terri Bopp
Chris Piehowski
 New staff:
Deb Krause, vice president
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Kristin Haugen
Michael Phillips
Pete Roverud
#2 Enabling valuable conversations
Issues, workgroups and meetings in 2016
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Ninth Annual Employer Leadership Summit
MNBTE Recognition Event
Specialty Pharmacy Learning/Action Network
Specialty Pharmacy Phase II Purchaser’s Guide
Specialty Drug Community Dialogue
High Impact Health and Benefits Communications
National Diabetes Prevention Program
OpenNotes
High Value Maternity Care
Choosing Wisely Campaign
Let Your Voice Be Heard
End-of-Life Care and Advance Care Directives
Tackling Type 2 Diabetes – Tools and Best Practices
MNBTE Guiding Coalition
#3 Identifying best practices and insights
Annual Benefits Survey
COST: Increased spending continued; premium trend in Minnesota tends
to run higher than national averages. Consumer education is #1 tactic to
control trend. Lots of tactics. Lots of vendors. Neutral ratings.
HOT TOPICS. Cost Transparency, Wellness ROI, and Specialty Drug Costs.
VENDOR MANAGEMENT. One-fourth of all employers are planning
on changing health plan vendors this coming year. Cost is #1 driver, along
with increased access and different delivery.
SERVICES/INNOVATION. The most commonly used services have
the lowest ratings. Many employers are “not interested” in some of the
highest rated, newer services. Respondents are contemplating programs
with both high and low ratings
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#4 Increasing awareness and understanding
Resources to support advance care planning
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#5 Improving workforce health and
productivity through access to NDPP
THE PROBLEM:
86 MILLION
Americans have
prediabetes—and 90
percent don’t know it.
TAKING ACTION:
• Convene employers and other stakeholders
• Raise awareness of the DPP by employers and health plans
• Share best practice models
• Help organize and recruit providers for the DPP
• Collaborate with MDH in 4 communities
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#6 Bridging the gap in quality
Minnesota Bridges to Excellence
UNIQUELY STRUCTURED TO ADD VALUE:
• Collaborative and unbiased
• Fully transparent
• High standards
• Continuous improvement
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#7 Impacting care delivered in Minnesota
Minnesota Bridges to Excellence
“Our focus is to deliver on the
Triple Aim of improving health
and enhancing the patient
experience while making care
affordable. It’s an honor to be
recognized by Minnesota Bridges
to Excellence for our dedication
to achieving these results. Our
clinicians and teams work
tirelessly to ensure the best
possible care and outcomes for
every patient.”
Steven Connelly, M.D.
President, Park Nicollet Health Services
“We reinvest the
dollars (rewards
received from
Minnesota Bridges to
Excellence) in our care
system. That is how
we have been able to
improve and build
better services for our
patients.”
Julie Gerndt, M.D.
Chief Medical Officer,
Mankato Clinic
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“The (Minnesota Bridges to
Excellence) recognition is
important to our system as
acknowledgement of the work
we do every day. We
recognize that there’s still
room for improvement. We
don’t have all our clinics on
the system, but the
recognition for the hard work
is nice.”
Jennifer Johnson
Regional physician lead for clinical
outcomes and quality for
Mayo Clinic Health System
#8 Learning together: specialty pharmacy
Adapted with permission from Pembroke 2013-14 Economic Report on Retail, Mail and
Specialty Pharmacies; Drug Channels Institute
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#9 Translating learning to impact
Powerful framework; community dialogue
Right
DRUG
Right
PRICE
Right
PATIENT
SUPPORT
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Right
PLACE
Right
DATA
#10 Making the Voice of Purchasers Heard
“It is important to continue to
publicly report C-section rates in
Minnesota. Purchasers observe that
there is still variation in cost and
quality of care. This measure should
be retained.”
Your voice on the
Minnesota Community Measurement
Measure Review Committee
“Valid cost and quality
measures and patient reported
outcomes that are meaningful
to patients and consumers
must be a national priority.”
Your voice on the National
Quality Forum
Committee on Standards and…
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“We believe that full
transparency is critical. The
total cost of care measures
should be publicly reported
immediately to employers and
consumers, not just to the
medical groups and health
plans.”
Your voice on the
Minnesota Community Measurement
Technical Advisory Group
Eyes on the Future….
Looking Ahead to 2017
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Looking ahead to 2017
Three key objectives
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1
2
3
Promote
professional
development
and networking
Shift the focus
from volume to
value
Transform the
market place
1 Promoting professional development
and networking
2017 Benefits Survey
Upcoming Member
Meetings
Hot topics identified:
• Care
coordination
• Consumer
education
• Cancer in the
workplace
• Health care data
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The Time is NOW:
Putting Affordable Back
into Health Care
2 Shifting the focus from volume to value
Increasing purchaser
value:
2017 Mental Health
Learning Network
Empowering employees:
2017 campaign
Envisioning the future:
Multi-stakeholder collaboration
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3 Transforming the market place
2017 Specialty Pharmacy Guiding Coalition
Stakeholders including health plans, provider
organizations, PBMs, Specialty Pharmacies,
manufacturers, and employers—with the
support of national partners and collaborators
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Final thoughts
 Join the Mental Health Care Delivery Learning Network
 Be part of the 2017 Choosing Wisely campaign
– High value, turnkey and free
 Mark your calendars:
– Annual Employer Benefits Survey
• Open for responses February 6 - 24
• Results meeting March 30
– 10th Annual Employer Leadership Summit
• May 19
 Stay in touch
– Taking Action Express newsletter
– Monthly members only fyi
– Social media
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A powerful voice for positive change
1. Aligned interests
2. Independence
The Action Group is the only Minnesota organization
whose sole purpose is to align and represent the
collective voice of those who pay the bill for health
care – employers, public purchasers and individuals.
Unlike so many others, we have no conflicts of interest
in working with employers.
4. Capabilities and proven track record
3. Relationships and influence
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